Cirujano General

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirujano General >Year 2017, Issue 2

Castillo BC, Joo MP, Choel MDA, Valdez GH, Lara AS
Massive lower gastrointestinal bleeding secondary to a Meckel’s diverticulum: a case report
Cir Gen 2017; 39 (2)

Language: Español
References: 14
Page: 101-104
PDF: 4. Kb.

Full text


A 24-year-old male patient with massive hemorrhage of the lower digestive tract (HTDB); he presented hemodynamic instability and required multiple transfusions of blood products, being refractory to medical treatment. Panendoscopy was indicated, in which a conclusive diagnosis was not evidenced due to the presence of active bleeding; it could not be performed due to the hemodynamic status of the patient, for whom an emergency surgical treatment was decided. An exploratory laparotomy was performed in which the bleeding site was evidenced: a Meckel’s diverticulum; whereby, right hemicolectomy and terminal ileum resection were decided. The clinical data of the patient, his management and subsequent evolution, as well as the fundamentals taken into account by the surgeon to determine the surgical behavior performed are presented. This case demonstrates the need for a review of our current understanding of Meckel’s diverticulum.

Key words: Diverticulum, Meckel, small intestine, bleeding.


  1. Rivera VP, Barajas MJ, Blasco CM. Hemorragia digestiva baja por Dieulafoy de colon ascendente. Gastroenterol Hepatol. 2001; 24: 343-345.

  2. Santoyo VR. Gastropatía por AINE. Rev Med Hosp Gen Mex. 2001; 64: S28-S34.

  3. Matsagas MI, Fatouros M, Koulouras B, Giannoukas AD. Incidence, complications, and management of Meckel’s diverticulum. Arch Surg. 1995; 130: 143-146.

  4. Uppal K, Tubbs RS, Matusz P, Shaffer K, Loukas M. Meckel’s diverticulum: a review. Clin Anat. 2011; 24: 416-422.

  5. Pariza G, Mavrodin CI, Ciurea M. Complicated Meckel’s diverticulum in adult pathology. Chirurgia (Bucur). 2009; 104: 745-748.

  6. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1,476 patients (1950-2002). Ann Surg. 2005; 241: 529-533.

  7. Ruscher KA, Fisher JN, Hughes CD, Neff S, Lerer TJ, Hight DW, et al. National trends in the surgical management of Meckel’s diverticulum. J Pediatr Surg. 2011; 46: 893-896.

  8. Diamond T, Russell CF. Meckel’s diverticulum in the adult. Br J Surg. 1985; 72: 480-482.

  9. Yamaguchi M, Takeuchi S, Awazu S. Meckel diverticulum. Investigation of 600 patients in the Japanese literature. Am J Surg. 1978; 136: 247-249.

  10. Jayesh Sagar, Vikas Kumar, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med. 2006; 99: 501-505.

  11. Stone PA, Hofeldt MJ, Lohan JA, Kessel JW, Flaherty SK. A rare case of massive gastrointestinal hemorrhage caused by Meckel’s diverticulum in a 53-year-old man. WV Med J. 2005; 101: 64-66.

  12. Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel’s diverticulum: the role of technetium 99m pertechnetate scan. South Med J. 2002; 95: 1338-1341.

  13. Kong MS, Chen CY, Tzen KY, Huang MJ, Wang KL, Lin JN. Technetium-99m pertechnetate scan for ectopic gastric mucosa in children with gastrointestinal bleeding. J Formos Med Assoc. 1993; 92: 717-720.

  14. Shalaby RY, Soliman SM, Fawy M, Samaha A. Laparoscopic management of Meckel’s diverticulum in children. J Pediatr Surg. 2005; 40: 562-567.

>Journals >Cirujano General >Year 2017, Issue 2

· Journal Index 
· Links 

Copyright 2019